Epidural injection, guided cost in Austin, TX
In Austin-Round Rock-San Marcos, TX, 23 hospitals list a cash price for lower-back epidural injection, with imaging guidance: from $636.30 to $7,128.00, with a median of $1,824.76. The lowest listed price is at Ascension Seton Smithville and 2 other hospitals — $1,188.46 less than the median here. Across Texas, the median is $1,675.50 at 197 hospitals.
- The median here, $1,824.76, is 33% above the US median of $1,369.55.
- That is 2.5× Medicare's 2026 national rate for the same service ($721.17).
- Austin, TX ranks 2nd of 4 metro areas in Texas by median, cheapest first.
- 5 of 23 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 23 facilities across 13 cities for code 62323, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 27, 2026; the hospital files themselves were last updated between Sep 2, 2024 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Austin-Round Rock-San Marcos, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Ascension Seton Smithville lowest Smithville, TX · (512) 237-3214 PAIN EPIDRL INJ L/S W IMG+1 more line at this price File of Jan 1, 2026 · source file | $636.30 | $1,767.50 | $99.21–$969.15 | 64% |
| Ascension Seton Hays lowest Kyle, TX · (512) 324-5000 PAIN EPIDRL INJ L/S W IMG+1 more line at this price File of Jan 1, 2026 · source file | $636.30 | $1,767.50 | $99.21–$969.15 | 64% |
| Ascension Seton Williamson lowest Round Rock, TX · (512) 324-0000 PAIN EPIDRL INJ L/S W IMG File of Jan 1, 2026 · source file | $636.30 | $1,767.50 | $99.21–$731.31 | 64% |
| Ascension Seton Medical Center Austin Austin, TX · (512) 324-1000 PAIN EPIDRL INJ L/S W IMG+1 more line at this price File of Jan 1, 2026 · source file | $1,104.93 | $3,069.25 | $99.21–$951.47 | 64% |
| Ascension Seton Southwest Austin, TX · (512) 324-9000 PAIN EPIDRL INJ L/S W IMG File of Jan 1, 2026 · source file | $1,104.93 | $3,069.25 | $99.21–$951.47 | 64% |
| Ascension Seton Northwest Austin, TX · (512) 324-6000 PAIN EPIDRL INJ L/S W IMG+1 more line at this price File of Jan 1, 2026 · source file | $1,104.93 | $3,069.25 | $99.21–$969.15 | 64% |
| Ascension Seton Austin, TX PAIN EPIDRL INJ L/S W IMG File of Jan 1, 2026 · source file | $1,237.25 | $1,767.50 | $99.21–$969.15 | 30% |
| The Hospital at Westlake Medical Center Austin, TX · (512) 327-0000 EPIDURAL INJ LUMBAR/ File of Sep 2, 2024 · source file | $1,345.83 | $3,961.24 | $55.00–$2,772.87 | 66% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 PAIN EPIDRL INJ L/S W IMG File of Jan 1, 2026 · source file | $1,647.00 | $4,575.00 | $99.21–$1,418.25 | 64% |
| Baylor Scott & White Medical Center - Taylor Taylor, TX · (512) 352-7611 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID File of Jun 12, 2026 · source file | $1,824.76 | $3,041.26 | $281.26–$2,970.00 | 40% |
| Baylor Scott & White Medical Center - Round Rock Round Rock, TX · (512) 509-0401 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID File of Jun 13, 2026 · source file | $1,824.76 | $3,041.26 | $262.86–$2,970.00 | 40% |
| Baylor Scott & White Medical Center - Austin Austin, TX · (512) 654-2100 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID File of Jun 13, 2026 · source file | $1,824.76 | $3,041.26 | $262.86–$2,970.00 | 40% |
| Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX · (512) 654-6100 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID File of Jun 13, 2026 · source file | $1,824.76 | $3,041.26 | $262.86–$2,970.00 | 40% |
| Baylor Scott & White Medical Center - Buda Buda, TX · (737) 999-6200 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID File of Jun 13, 2026 · source file | $1,824.76 | $3,041.26 | $262.86–$2,970.00 | 40% |
| Baylor Scott & White Emergency Medical Center - Cedar Park Cedar Park, TX · (512) 509-0401 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID File of Jun 3, 2026 · source file | $1,824.76 | $3,041.26 | $744.55–$1,976.82 | 40% |
| Baylor Scott & White Medical Center - Lakeway Lakeway, TX · (512) 509-0401 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID File of Jun 13, 2026 · source file | $1,824.76 | $3,041.26 | $262.86–$2,970.00 | 40% |
| Dell Seton Medical Center at the University of Tx Austin, TX · (512) 324-7000 PAIN EPIDRL INJ L/S W IMG File of Jan 1, 2026 · source file | $1,946.07 | $5,405.75 | $99.21–$1,675.78 | 64% |
| St. David's Round Rock Medical Center Leander, TX · (512) 341-1000 INJ EPI L/S W IMAGING File of Sep 1, 2026 · source file | $2,335.00 | $2,335.00 | $1,632.16 | — |
| Texas Children's Hospital - Austin Austin, TX · (832) 824-1100 TC INJ EPIDURAL (NON NEUROLYTIC), LUMBAR/SACRAL W/ IMG GUIDE File of Mar 5, 2026 · source file | $3,047.83 | $4,549.00 | $262.86–$4,321.55 | 33% |
| St. David's Medical Center Manor, TX · (512) 476-7111 INJ EPI L/S W IMAGING+1 more line at this price File of Sep 1, 2026 · source file | $7,128.00 | $7,128.00 | $282.06–$14,612.00 | — |
| Heart Hosp of Austin at St. David's Round Rock Round Rock, TX Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i +1 more line at this price File of Sep 1, 2026 · source file | $7,128.00 | $7,128.00 | $282.06–$6,058.80 | — |
| Heart Hosp of Austin Austin, TX INJ EPI L/S W IMAGING+1 more line at this price File of Sep 1, 2026 · source file | $7,128.00 | $7,128.00 | $282.06–$6,058.80 | — |
| St. David's Georgetown Hospital Georgetown, TX · (512) 476-7111 INJ EPI L/S W IMAGING File of Sep 1, 2026 · source file | $7,128.00 | $7,128.00 | $997.92–$6,058.80 | — |
Outpatient: lowest $636.30, median $1,824.76, highest $7,128.00 — a 11.2× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $1,824.76. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 12 of 23 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What epidural injection, guided is, what the price covers and why prices differ: Epidural injection, guided explained.